Individual
MASON DEMI SANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
2669 SCENIC DR, ALAMOGORDO, NM 88310-8700
(575) 446-5534
Mailing address
2669 N SCENIC DR, ALAMOGORDO, NM 88310
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NM
Other
Enumeration date
08/30/2021
Last updated
11/30/2023
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